ALLEN E FORRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

ALLEN E

Last Name

FORRY

Suffix

Business Name

ALLEN E FORRY MD

Original Issue Date

07/25/1988

Effective Date

05/09/2011

Expiration Date

07/31/2014

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014